Individual provider · Type 1 NPI

Mariah Ann Shattuck, FNP-C

Registered Nurse · Chandler, AZ

NPI number 1780481010 Active

Practice location

2815 E Ocotillo Rd
Chandler, AZ 85249-2805

Mailing address

PO Box 932958
Cleveland, OH 44193-0028

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X318824 (AZ)
Registered Nurse Primary 163W00000XRN205183 (AZ)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1780481010

Mariah Ann Shattuck, FNP-C's National Provider Identifier is 1780481010, issued on Feb 25, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Chandler, AZ. The record was last updated on Oct 26, 2026.